JF4. Oak Creek Plumbing On-line Remodel Appointment Form

For Office Use Only
W.O.#
Office Use Only
Sales Consultant Email
Sales Consultant
example@example.com (Office Use Only)
Customer Service Representative
Appointment Confirmation
Office Use Only

Property Owner (Final Decision Maker)*

First NameLast Name
Property Owner Email*
example@example.com
Alternate Email
example@example.com
Property Owner Best Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Best Phone Number to Text

Area CodePhone Number
Is there any additional information you feel we should know about the property ownership such as payment responsibility and/or accessibility of the property?
Address where work is to be performed.*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Any additional information you feel we should know about the property location.
Property Owner Address if different than work performed address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Any additional information you feel we may need to know about the property owner.
How did you hear about us? (Select all that apply)*

RepeatReferral (Please list the person who referred you to us in the misc information box below)Yellow PagesRadioInternet SearchKohler ServicesValPak MailerPost CardOther
Type of project

Kitchen RemodelBathroom RemodelPlumbingOther
Brief description of what you would like done*
Best way for first consultation

Project Site VisitPhone CallVideo Conference (zoom/facetime)Other
Preferred Date you would like this appointment for. (option 1)

MonthDayYear
If you would need an appointment for Saturday or Sunday, please call the office to make arrangements
Preferred time of appointment (check all that apply)

Between 8am and 10amBetween 10am and NoonBetween Noon and 2pmBetween 2pm and 4pmBetween 4pm and 6pmBetween 6pm and 8pm
Preferred Date you would like this appointment for. (option 2)

MonthDayYear
If you would need an appointment for Saturday or Sunday, please call the office to make arrangements
Preferred time of appointment (check all that apply)

Between 8am and 10amBetween 10am and NoonBetween Noon and 2pmBetween 2pm and 4pmBetween 4pm and 6pmBetween 6pm and 8pm
Preferred Date you would like this appointment for. (option 3)

MonthDayYear
If you would need an appointment for Saturday or Sunday, please call the office to make arrangements
Preferred time of appointment (check all that apply)

Between 8am and 10amBetween 10am and NoonBetween Noon and 2pmBetween 2pm and 4pmBetween 4pm and 6pmBetween 6pm and 8pm
Any additional information about the appointment time.
Preferred Design Consultant (please leave blank if you have no preference)
What door should we come to for access into the property
Where is the best place to park or any parking instructions.
Any additional information you feel we may need to know before we enter the property. (pets, white carpeting, door bell is out, etc...)
Misc Information
Approximately how old is the property

Less than 30 years old30 to 50 years old50 to 75 years oldOver 75 years oldI have no idea how old the property isOther
Anything you feel we may need to know about the age of the property
How long have you lived at this property?

Less than a year1 to 5 years5 to 20 yearsSeems like I have lived here forever. I've lost countThis is a investment property.Other
Anything you feel we may need to know about how long you have lived at this property?
Do you have any plans of moving out or selling this property?

Yes, with-in a yearYes, 1 to 5 yearsNot sure but we'll be here for at least 5 years if not longer.We do not plan on moving. They'll have to drag us out.Not sure what our plans areOther
Anything you feel we may need to know about future occupancy of this property?
What about your current situation prompted you to set this appointment? (Select all that apply)

AgeUpdatingSafetyResaleFamilyCleaningMaintenanceOther
Misc Information about why setting the appointment
Tell us about what you are looking to accomplish with this project.
What have you seen or heard that you liked
What have you seen or heard that you have not liked
What do you hate about your current situation? (Select all that apply)

FunctionLookUp-KeepOther
Misc Information on what you hate about your current situation
What do you love about your current situation? (Select all that apply)

FunctionLookUp-KeepOther
Misc Information on what you love about your current situation
Have you ever received a price quote on a bath/kitchen remodel

YesNoNot sure
How long have you been contemplating this project?

Less than 6 months7-12 months1-5 yearsOver 5 years
Misc Information about contemplating this project
What has stopped you from achieving these dreams? (Select all that apply)

Other home improvementsHealthFinancialOther
Misc Information on achieving these dreams
Is there anything that we would need to know to about making this project urgent? (Select all that apply)

Structural IssuesCode IssuesAllergiesHealthImpending Event (wedding, graduation etc..)Other
Misc Information on Project Urgency
Preferred Date you would like this work to be completed by. (Leave blank if no urgency)

MonthDayYear
We will make every effort to accommodate this request. We will keep you posted with any changes or issues
Time Frame That you would need to have this project completed by.
Who will be the primary users of this new project? (Select all that apply)

SpouseChildrenParents (In-Laws)Other
Tell us about some other home improvements you may be considering
Misc Information on Primary Users
Have you worked with other contractors on other projects?

YesNo
Misc Information on working with other contractors

Scale Rating on working with other contractors

	Not Satisfied	Somewhat Satisfied	Satisfied	Very Satisfied
Service Quality
Cleanliness
Responsiveness
Friendliness
Product Quality
Installation Quality
Scheduling
Communication

Misc Information on above scale on working with other contractors
Any additional information we may need in putting a budget together for this project.
Is there any additional information you feel we may need to know in order to best help you.
Is there any special needs that you feel we may need to know about while working on your property?
Upload pictures or documents that you feel we may need to see.

Browse Files

Cancelof
What type of quote are you looking for?*

Premium (Highest Quality & Longevity) – Top-tier materials and craftsmanship for the best performance and durability.Balanced (Best Value & Performance) – A balance between quality and cost for long-term reliability.Cost-Effective (Budget-Friendly Solution) – A practical option that meets basic needs while keeping costs lower.Not sure, need to discuss with a professionalOther. Please list questions or thoughts below
Please list questions or thoughts below
Thank you for your time. We look forward to serving you

Sincerely,

All of the team at Oak Creek Plumbing Kitchen & Bath
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